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Data updated: Jun 28, 2026

PEDIAPRED (prednisolone sodium phosphate) · PAI HOLDINGS PHARM

Respiratory Approved 1986-05-28

Pediapred (prednisolone sodium phosphate) is an oral glucocorticoid solution indicated for the management of a broad spectrum of endocrine, inflammatory, and autoimmune disorders in adult and pediatric patients. It is primarily used for severe or recalcitrant allergic states (e.g., asthma, contact dermatitis), dermatologic diseases (e.g., pemphigus, Stevens-Johnson syndrome), and respiratory conditions (e.g., sarcoidosis). Additionally, it is indicated for the treatment of neoplastic diseases (leukemias and lymphomas), hematologic disorders (e.g., idiopathic thrombocytopenic purpura), gastrointestinal diseases (e.g., ulcerative colitis), and to induce diuresis in nephrotic syndrome.

How PEDIAPRED Works

Prednisolone is a synthetic glucocorticoid that exerts potent anti-inflammatory and immunomodulatory effects. It diffuses across cell membranes and binds with high affinity to cytoplasmic glucocorticoid receptors (GR). The resulting ligand-receptor complex translocates to the nucleus, where it binds to specific DNA sequences called glucocorticoid response elements (GREs). This interaction modulates gene transcription, leading to the induction of anti-inflammatory proteins (such as lipocortin-1, which inhibits phospholipase A2) and the transrepression of pro-inflammatory transcription factors, including NF-κB and AP-1. These actions result in decreased production of inflammatory mediators (cytokines, interleukins, prostaglandins, and leukotrienes), reduced capillary permeability, and suppression of the humoral and cell-mediated immune responses.

NDA
Small Molecule
2
Indications
--
Phase 3 Trials
40
Years on Market

Details

Status
Prescription
First Approved
1986-05-28
Routes
ORAL
Dosage Forms
SOLUTION

Companies

Active Ingredient: PREDNISOLONE SODIUM PHOSPHATE

PEDIAPRED Approval History

1987
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Original
New Indication
New Form
Label Update
19 FDA actions from 1986 to 2024
Jun 2024 SUPPL
Label · Labeling
Feb 2018 SUPPL
Label · Labeling
Oct 2013 SUPPL
Label · Labeling

What PEDIAPRED Treats

23 indications

PEDIAPRED is approved for 23 conditions since its original approval in 1986. These indications span multiple therapeutic areas including oncology, immunology, and more.

Source: FDA Label

PEDIAPRED Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to PEDIAPRED

3 of 20

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

DEXAMETHASONE INTENSOL
DEXAMETHASONE
18 shared
Hikma
Shared indications:
ORAPRED ODT
PREDNISOLONE SODIUM PHOSPHATE
18 shared
ADVANZ PHARMA
Shared indications:
Atopic DermatitisDrug HypersensitivityAllergic Rhinitis +15 more
DEPO-MEDROL
METHYLPREDNISOLONE ACETATE
17 shared
Pfizer
Shared indications:
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Clinical Trial Registry

3 trials
Trial Sponsor ID Phase Status Title
NCT03484507 UCSF-IRB-17-23895 Ph 2 completed Parasitic Ulcer Treatment Trial Pilot
NCT05444699 RhinoPOCRCT OY102021 2024-512561-13-00, 2021-006050-31 Ph 4 recruiting Oral Prednisolone for Acute Rhinovirus Induced Wheezing in Children Less Than 2 Years of Age
NCT03698630 RESP_301_2010 2010-022001-18, ISRCTN26944158 Ph 4 completed Single Dose Oral Dexamethasone Versus Multi-dose Prednisolone in the Treatment of Acute Exacerbations of Asthma in Children
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

PEDIAPRED FDA Label Details

Indications & Usage

FDA Label (PDF)

Prednisolone Sodium Phosphate Oral Solution is indicated in the following conditions: 1. Allergic States Control of severe or incapacitating allergic conditions intractable to adequate trials of conventional treatment in adult and pediatric populations with: seasonal or perennial allergic rhinitis; asthma; contact dermatitis; atopic dermatitis; serum sickness; drug hypersensitivity reactions. 2. Dermatologic Diseases Pemphigus; bullous dermatitis herpetiformis; severe erythema multiforme (Stevens-Johnson syndrome); exfoliative erythroderma; mycosis fungoides. 3. Edematous States To induce diur...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.